For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state. We are the largest insurance company in South Carolina. We are also the only one that has an A+ Superior A.M. Best rating. We are one of the nation's leading government contract administrators. We operate one of the most sophisticated data processing centers in the Southeast and have a diverse family of subsidiary companies.

Our full-time employees enjoy benefits like a 401(k) retirement savings plan with company match, subsidized health plans, free vision coverage, life insurance, paid annual leave and holidays, wellness programs and education assistance. If you are a full-time employee in the National Guard or reserves, we will cover the difference in your pay if you are called to active duty. BlueCross has a dedicated corporate culture of community support. Our employees are some of the most giving in the country. They support dozens of nonprofit organizations every year.

If you're ready to join a diverse company with secure, community roots and an innovative future, apply for a position now! 

BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. 

We are an Equal Opportunity Employer. We will consider all qualified applicants for employment regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information, or any other legally protected status.

Industry: Insurance
Company Size: 10,001+ employees

BlueCross BlueShield of South Carolina

Savvy Admin PROD

**Summary**

Responsible for the accurate and timely processing of claims.

**Description**

**Logistics: **PGBA **– one of BlueCross BlueShield's South Carolina subsidiary companies.**

**Location: ** This position is full-time (40 hours/week) Monday-Friday from 8:00am-5:00pm. This role is located on-site at 200 N Dozier Blvd., Florence, SC 29501.

**What You’ll Do**

- Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.

- Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.

- Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

**To Qualify For This Position, You'll Need The Following**

- Required Education: High School Diploma or equivalent

- Required Skills and Abilities:

- Strong analytical, organizational and customer service skills.

- Strong oral and written communication skills.

- Proficient spelling, punctuation and grammar skills.

- Good judgment skills.

- Basic business math skills.

- Required Software and Tools: Basic office equipment.

**We Prefer That You Have The Following**

- Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment.

- Preferred Skills and Abilities: Ability to use complex mathematical calculations.

- Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software.

**Our Comprehensive Benefits Package Includes The Following**

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.

- Subsidized health plans, dental and vision coverage

- 401k retirement savings plan with company match

- Life Insurance

- Paid Time Off (PTO)

- On-site cafeterias and fitness centers in major locations

- Education Assistance

- Service Recognition

- National discounts to movies, theaters, zoos, theme parks and more

**What We Can Do For You**

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

**What To Expect Next**

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

**Equal Employment Opportunity Statement**

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

Some states have required notifications. Here's more information.

Processor, Claims I

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